Provider Demographics
NPI:1316011885
Name:FURR, WAYNE CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:CHARLES
Last Name:FURR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10465 PARK MEADOWS DR
Mailing Address - Street 2:#104
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5319
Mailing Address - Country:US
Mailing Address - Phone:303-799-7903
Mailing Address - Fax:303-799-1222
Practice Address - Street 1:10465 PARK MEADOWS DR
Practice Address - Street 2:#104
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5319
Practice Address - Country:US
Practice Address - Phone:303-799-7903
Practice Address - Fax:303-799-1222
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO35913207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55788840Medicaid
CO85139033Medicaid
COCO303478Medicare PIN
COCO304358Medicare PIN
COC808457Medicare PIN